<h4>Manage Fields for Disclosure Notice<br>
		<span style="font-size:12px;">(Check the checkbox to indicate the field to be shown upon candidate viewing.)</span>
</h4>
	<!--row starts-->
	<div class="row1">
		<div class="form-group col-sm-12">
			<div class="table-responsive add_fields">
				<table cellpadding="0" cellspacing="0" border="0" class="table">
					<?php if(isset($nomination_form_disclosure) && !empty($nomination_form_disclosure)){
						foreach($nomination_form_disclosure as $key => $temp){
					 ?>		
					<tr>
						<td>
							<label style="display: inline !important;" for="<?php echo $temp['master_nomination_form_name']; ?>" class="form_text"><?php echo $temp['master_nomination_form_label']; ?> :</label>
						</td>
						<td>
							<input id="<?php echo $temp['master_nomination_form_name']; ?>" name="<?php echo $temp['master_nomination_form_name']; ?>" value="<?php echo $temp['master_nomination_form_label']; ?>" <?php if(isset($Disclosure_field_data['field_id']) && in_array($temp['master_nomination_id'],$Disclosure_field_data['field_id'])){ echo 'checked'; } ?>  type="checkbox" />
                            <input type="hidden" name="<?php echo $temp['master_nomination_form_name']; ?>_id" value="<?php echo $temp['master_nomination_id']; ?>" >
							<label for="<?php echo $temp['master_nomination_form_name']; ?>" class="label_text">Check to show this field.</label>
						</td>
					</tr>
					<?php }} ?>
				</table>
			</div>
		</div>
		<div class="clearfix"></div>
	</div>
	<!--row closed-->